Bronson Battle Creek

All Charges

Charge

Type

Setting

Price

HC NEG PRES VF DRSG SMA

Facility

$386.89

Hospital Charge Code	27200227
Hospital Revenue Code	272
Min. Negotiated Rate	$152.05
Max. Negotiated Rate	$348.20
Rate for Payer: Aetna Commercial	$328.86
Rate for Payer: Aetna Medicare	$193.44
Rate for Payer: Aetna New Business (MI Preferred)	$251.48
Rate for Payer: BCBS Complete	$154.76
Rate for Payer: Cash Price	$309.51
Rate for Payer: Cofinity Advantage	$270.82
Rate for Payer: Cofinity Commercial	$332.73
Rate for Payer: Encore Health Key Benefits Commercial	$309.51
Rate for Payer: Healthscope Commercial	$348.20
Rate for Payer: MI Amish Medical Board Commercial	$309.51
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$328.86
Rate for Payer: Opus (Opus Packaging Group) HMA	$290.17
Rate for Payer: PHP Commercial	$328.86
Rate for Payer: Priority Health SBD	$243.74
Rate for Payer: UHC All Payor (Choice/PPO)	$251.48
Rate for Payer: UHC Core	$201.57
Rate for Payer: UHC Exchange	$152.05

HC NEG PRES VF DUO TRAC PAD

Facility

$296.09

Hospital Charge Code	27200231
Hospital Revenue Code	272
Min. Negotiated Rate	$186.54
Max. Negotiated Rate	$266.48
Rate for Payer: Aetna Commercial	$251.68
Rate for Payer: Aetna New Business (MI Preferred)	$192.46
Rate for Payer: Cash Price	$236.87
Rate for Payer: Cofinity Advantage	$207.26
Rate for Payer: Cofinity Commercial	$254.64
Rate for Payer: Encore Health Key Benefits Commercial	$236.87
Rate for Payer: Healthscope Commercial	$266.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$251.68
Rate for Payer: Opus (Opus Packaging Group) HMA	$222.07
Rate for Payer: PHP Commercial	$251.68
Rate for Payer: Priority Health SBD	$186.54

HC NEG PRES VF DUO TRAC PAD

Facility

$296.09

Hospital Charge Code	27200231
Hospital Revenue Code	272
Min. Negotiated Rate	$116.36
Max. Negotiated Rate	$266.48
Rate for Payer: Aetna Commercial	$251.68
Rate for Payer: Aetna Medicare	$148.04
Rate for Payer: Aetna New Business (MI Preferred)	$192.46
Rate for Payer: BCBS Complete	$118.44
Rate for Payer: Cash Price	$236.87
Rate for Payer: Cofinity Advantage	$207.26
Rate for Payer: Cofinity Commercial	$254.64
Rate for Payer: Encore Health Key Benefits Commercial	$236.87
Rate for Payer: Healthscope Commercial	$266.48
Rate for Payer: MI Amish Medical Board Commercial	$236.87
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$251.68
Rate for Payer: Opus (Opus Packaging Group) HMA	$222.07
Rate for Payer: PHP Commercial	$251.68
Rate for Payer: Priority Health SBD	$186.54
Rate for Payer: UHC All Payor (Choice/PPO)	$192.46
Rate for Payer: UHC Core	$154.26
Rate for Payer: UHC Exchange	$116.36

HC NEG PRES WHT FOAM DRSG

Facility

$183.70

Hospital Charge Code	27200158
Hospital Revenue Code	272
Min. Negotiated Rate	$115.73
Max. Negotiated Rate	$165.33
Rate for Payer: Aetna Commercial	$156.15
Rate for Payer: Aetna New Business (MI Preferred)	$119.41
Rate for Payer: Cash Price	$146.96
Rate for Payer: Cofinity Advantage	$128.59
Rate for Payer: Cofinity Commercial	$157.98
Rate for Payer: Encore Health Key Benefits Commercial	$146.96
Rate for Payer: Healthscope Commercial	$165.33
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$156.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$137.78
Rate for Payer: PHP Commercial	$156.15
Rate for Payer: Priority Health SBD	$115.73

HC NEG PRES WHT FOAM DRSG

Facility

$183.70

Hospital Charge Code	27200158
Hospital Revenue Code	272
Min. Negotiated Rate	$72.19
Max. Negotiated Rate	$165.33
Rate for Payer: Aetna Commercial	$156.15
Rate for Payer: Aetna Medicare	$91.85
Rate for Payer: Aetna New Business (MI Preferred)	$119.41
Rate for Payer: BCBS Complete	$73.48
Rate for Payer: Cash Price	$146.96
Rate for Payer: Cofinity Advantage	$128.59
Rate for Payer: Cofinity Commercial	$157.98
Rate for Payer: Encore Health Key Benefits Commercial	$146.96
Rate for Payer: Healthscope Commercial	$165.33
Rate for Payer: MI Amish Medical Board Commercial	$146.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$156.15
Rate for Payer: Opus (Opus Packaging Group) HMA	$137.78
Rate for Payer: PHP Commercial	$156.15
Rate for Payer: Priority Health SBD	$115.73
Rate for Payer: UHC All Payor (Choice/PPO)	$119.41
Rate for Payer: UHC Core	$95.71
Rate for Payer: UHC Exchange	$72.19

HC NEG PRES WND THRPY DSG EXLGE

Facility

$388.88

Hospital Charge Code	27200137
Hospital Revenue Code	272
Min. Negotiated Rate	$152.83
Max. Negotiated Rate	$349.99
Rate for Payer: Aetna Commercial	$330.55
Rate for Payer: Aetna Medicare	$194.44
Rate for Payer: Aetna New Business (MI Preferred)	$252.77
Rate for Payer: BCBS Complete	$155.55
Rate for Payer: Cash Price	$311.10
Rate for Payer: Cofinity Advantage	$272.22
Rate for Payer: Cofinity Commercial	$334.44
Rate for Payer: Encore Health Key Benefits Commercial	$311.10
Rate for Payer: Healthscope Commercial	$349.99
Rate for Payer: MI Amish Medical Board Commercial	$311.10
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$330.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$291.66
Rate for Payer: PHP Commercial	$330.55
Rate for Payer: Priority Health SBD	$244.99
Rate for Payer: UHC All Payor (Choice/PPO)	$252.77
Rate for Payer: UHC Core	$202.61
Rate for Payer: UHC Exchange	$152.83

HC NEG PRES WND THRPY DSG EXLGE

Facility

$388.88

Hospital Charge Code	27200137
Hospital Revenue Code	272
Min. Negotiated Rate	$244.99
Max. Negotiated Rate	$349.99
Rate for Payer: Aetna Commercial	$330.55
Rate for Payer: Aetna New Business (MI Preferred)	$252.77
Rate for Payer: Cash Price	$311.10
Rate for Payer: Cofinity Advantage	$272.22
Rate for Payer: Cofinity Commercial	$334.44
Rate for Payer: Encore Health Key Benefits Commercial	$311.10
Rate for Payer: Healthscope Commercial	$349.99
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$330.55
Rate for Payer: Opus (Opus Packaging Group) HMA	$291.66
Rate for Payer: PHP Commercial	$330.55
Rate for Payer: Priority Health SBD	$244.99

HC NEG PRES WND THRPY DSG SET LAR

Facility

$206.60

Hospital Charge Code	27200138
Hospital Revenue Code	272
Min. Negotiated Rate	$81.19
Max. Negotiated Rate	$185.94
Rate for Payer: Aetna Commercial	$175.61
Rate for Payer: Aetna Medicare	$103.30
Rate for Payer: Aetna New Business (MI Preferred)	$134.29
Rate for Payer: BCBS Complete	$82.64
Rate for Payer: Cash Price	$165.28
Rate for Payer: Cofinity Advantage	$144.62
Rate for Payer: Cofinity Commercial	$177.68
Rate for Payer: Encore Health Key Benefits Commercial	$165.28
Rate for Payer: Healthscope Commercial	$185.94
Rate for Payer: MI Amish Medical Board Commercial	$165.28
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$175.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$154.95
Rate for Payer: PHP Commercial	$175.61
Rate for Payer: Priority Health SBD	$130.16
Rate for Payer: UHC All Payor (Choice/PPO)	$134.29
Rate for Payer: UHC Core	$107.64
Rate for Payer: UHC Exchange	$81.19

HC NEG PRES WND THRPY DSG SET LAR

Facility

$206.60

Hospital Charge Code	27200138
Hospital Revenue Code	272
Min. Negotiated Rate	$130.16
Max. Negotiated Rate	$185.94
Rate for Payer: Aetna Commercial	$175.61
Rate for Payer: Aetna New Business (MI Preferred)	$134.29
Rate for Payer: Cash Price	$165.28
Rate for Payer: Cofinity Advantage	$144.62
Rate for Payer: Cofinity Commercial	$177.68
Rate for Payer: Encore Health Key Benefits Commercial	$165.28
Rate for Payer: Healthscope Commercial	$185.94
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$175.61
Rate for Payer: Opus (Opus Packaging Group) HMA	$154.95
Rate for Payer: PHP Commercial	$175.61
Rate for Payer: Priority Health SBD	$130.16

HC NEG PRES WND THRPY DSG SET MED

Facility

$148.84

Hospital Charge Code	27200139
Hospital Revenue Code	272
Min. Negotiated Rate	$58.49
Max. Negotiated Rate	$133.96
Rate for Payer: Aetna Commercial	$126.51
Rate for Payer: Aetna Medicare	$74.42
Rate for Payer: Aetna New Business (MI Preferred)	$96.75
Rate for Payer: BCBS Complete	$59.54
Rate for Payer: Cash Price	$119.07
Rate for Payer: Cofinity Advantage	$104.19
Rate for Payer: Cofinity Commercial	$128.00
Rate for Payer: Encore Health Key Benefits Commercial	$119.07
Rate for Payer: Healthscope Commercial	$133.96
Rate for Payer: MI Amish Medical Board Commercial	$119.07
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$126.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$111.63
Rate for Payer: PHP Commercial	$126.51
Rate for Payer: Priority Health SBD	$93.77
Rate for Payer: UHC All Payor (Choice/PPO)	$96.75
Rate for Payer: UHC Core	$77.55
Rate for Payer: UHC Exchange	$58.49

HC NEG PRES WND THRPY DSG SET MED

Facility

$148.84

Hospital Charge Code	27200139
Hospital Revenue Code	272
Min. Negotiated Rate	$93.77
Max. Negotiated Rate	$133.96
Rate for Payer: Aetna Commercial	$126.51
Rate for Payer: Aetna New Business (MI Preferred)	$96.75
Rate for Payer: Cash Price	$119.07
Rate for Payer: Cofinity Advantage	$104.19
Rate for Payer: Cofinity Commercial	$128.00
Rate for Payer: Encore Health Key Benefits Commercial	$119.07
Rate for Payer: Healthscope Commercial	$133.96
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$126.51
Rate for Payer: Opus (Opus Packaging Group) HMA	$111.63
Rate for Payer: PHP Commercial	$126.51
Rate for Payer: Priority Health SBD	$93.77

HC NEG PRES WND THRPY DSG SET SIL

Facility

$277.93

Hospital Charge Code	27200140
Hospital Revenue Code	272
Min. Negotiated Rate	$175.10
Max. Negotiated Rate	$250.14
Rate for Payer: Aetna Commercial	$236.24
Rate for Payer: Aetna New Business (MI Preferred)	$180.65
Rate for Payer: Cash Price	$222.34
Rate for Payer: Cofinity Advantage	$194.55
Rate for Payer: Cofinity Commercial	$239.02
Rate for Payer: Encore Health Key Benefits Commercial	$222.34
Rate for Payer: Healthscope Commercial	$250.14
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$236.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$208.45
Rate for Payer: PHP Commercial	$236.24
Rate for Payer: Priority Health SBD	$175.10

HC NEG PRES WND THRPY DSG SET SIL

Facility

$277.93

Hospital Charge Code	27200140
Hospital Revenue Code	272
Min. Negotiated Rate	$109.23
Max. Negotiated Rate	$250.14
Rate for Payer: Aetna Commercial	$236.24
Rate for Payer: Aetna Medicare	$138.97
Rate for Payer: Aetna New Business (MI Preferred)	$180.65
Rate for Payer: BCBS Complete	$111.17
Rate for Payer: Cash Price	$222.34
Rate for Payer: Cofinity Advantage	$194.55
Rate for Payer: Cofinity Commercial	$239.02
Rate for Payer: Encore Health Key Benefits Commercial	$222.34
Rate for Payer: Healthscope Commercial	$250.14
Rate for Payer: MI Amish Medical Board Commercial	$222.34
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$236.24
Rate for Payer: Opus (Opus Packaging Group) HMA	$208.45
Rate for Payer: PHP Commercial	$236.24
Rate for Payer: Priority Health SBD	$175.10
Rate for Payer: UHC All Payor (Choice/PPO)	$180.65
Rate for Payer: UHC Core	$144.80
Rate for Payer: UHC Exchange	$109.23

HC NEG PRES WND THRPY DSG SET SMA

Facility

$118.31

Hospital Charge Code	27200141
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$106.48
Rate for Payer: Aetna Commercial	$100.56
Rate for Payer: Aetna Medicare	$59.16
Rate for Payer: Aetna New Business (MI Preferred)	$76.90
Rate for Payer: BCBS Complete	$47.32
Rate for Payer: Cash Price	$94.65
Rate for Payer: Cofinity Advantage	$82.82
Rate for Payer: Cofinity Commercial	$101.75
Rate for Payer: Encore Health Key Benefits Commercial	$94.65
Rate for Payer: Healthscope Commercial	$106.48
Rate for Payer: MI Amish Medical Board Commercial	$94.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.73
Rate for Payer: PHP Commercial	$100.56
Rate for Payer: Priority Health SBD	$74.54
Rate for Payer: UHC All Payor (Choice/PPO)	$76.90
Rate for Payer: UHC Core	$61.64
Rate for Payer: UHC Exchange	$46.50

HC NEG PRES WND THRPY DSG SET SMA

Facility

$118.31

Hospital Charge Code	27200141
Hospital Revenue Code	272
Min. Negotiated Rate	$74.54
Max. Negotiated Rate	$106.48
Rate for Payer: Aetna Commercial	$100.56
Rate for Payer: Aetna New Business (MI Preferred)	$76.90
Rate for Payer: Cash Price	$94.65
Rate for Payer: Cofinity Advantage	$82.82
Rate for Payer: Cofinity Commercial	$101.75
Rate for Payer: Encore Health Key Benefits Commercial	$94.65
Rate for Payer: Healthscope Commercial	$106.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.73
Rate for Payer: PHP Commercial	$100.56
Rate for Payer: Priority Health SBD	$74.54

HC NEG PRES WOUND TX SET MED

Facility

$81.59

Hospital Charge Code	27200127
Hospital Revenue Code	272
Min. Negotiated Rate	$32.06
Max. Negotiated Rate	$73.43
Rate for Payer: Aetna Commercial	$69.35
Rate for Payer: Aetna Medicare	$40.80
Rate for Payer: Aetna New Business (MI Preferred)	$53.03
Rate for Payer: BCBS Complete	$32.64
Rate for Payer: Cash Price	$65.27
Rate for Payer: Cofinity Advantage	$57.11
Rate for Payer: Cofinity Commercial	$70.17
Rate for Payer: Encore Health Key Benefits Commercial	$65.27
Rate for Payer: Healthscope Commercial	$73.43
Rate for Payer: MI Amish Medical Board Commercial	$65.27
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.35
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.19
Rate for Payer: PHP Commercial	$69.35
Rate for Payer: Priority Health SBD	$51.40
Rate for Payer: UHC All Payor (Choice/PPO)	$53.03
Rate for Payer: UHC Core	$42.51
Rate for Payer: UHC Exchange	$32.06

HC NEG PRES WOUND TX SET MED

Facility

$81.59

Hospital Charge Code	27200127
Hospital Revenue Code	272
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$73.43
Rate for Payer: Aetna Commercial	$69.35
Rate for Payer: Aetna New Business (MI Preferred)	$53.03
Rate for Payer: Cash Price	$65.27
Rate for Payer: Cofinity Advantage	$57.11
Rate for Payer: Cofinity Commercial	$70.17
Rate for Payer: Encore Health Key Benefits Commercial	$65.27
Rate for Payer: Healthscope Commercial	$73.43
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$69.35
Rate for Payer: Opus (Opus Packaging Group) HMA	$61.19
Rate for Payer: PHP Commercial	$69.35
Rate for Payer: Priority Health SBD	$51.40

HC NEG PRES WOUND TX SET SMALL

Facility

$118.31

Hospital Charge Code	27200128
Hospital Revenue Code	272
Min. Negotiated Rate	$74.54
Max. Negotiated Rate	$106.48
Rate for Payer: Aetna Commercial	$100.56
Rate for Payer: Aetna New Business (MI Preferred)	$76.90
Rate for Payer: Cash Price	$94.65
Rate for Payer: Cofinity Advantage	$82.82
Rate for Payer: Cofinity Commercial	$101.75
Rate for Payer: Encore Health Key Benefits Commercial	$94.65
Rate for Payer: Healthscope Commercial	$106.48
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.73
Rate for Payer: PHP Commercial	$100.56
Rate for Payer: Priority Health SBD	$74.54

HC NEG PRES WOUND TX SET SMALL

Facility

$118.31

Hospital Charge Code	27200128
Hospital Revenue Code	272
Min. Negotiated Rate	$46.50
Max. Negotiated Rate	$106.48
Rate for Payer: Aetna Commercial	$100.56
Rate for Payer: Aetna Medicare	$59.16
Rate for Payer: Aetna New Business (MI Preferred)	$76.90
Rate for Payer: BCBS Complete	$47.32
Rate for Payer: Cash Price	$94.65
Rate for Payer: Cofinity Advantage	$82.82
Rate for Payer: Cofinity Commercial	$101.75
Rate for Payer: Encore Health Key Benefits Commercial	$94.65
Rate for Payer: Healthscope Commercial	$106.48
Rate for Payer: MI Amish Medical Board Commercial	$94.65
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$100.56
Rate for Payer: Opus (Opus Packaging Group) HMA	$88.73
Rate for Payer: PHP Commercial	$100.56
Rate for Payer: Priority Health SBD	$74.54
Rate for Payer: UHC All Payor (Choice/PPO)	$76.90
Rate for Payer: UHC Core	$61.64
Rate for Payer: UHC Exchange	$46.50

HC NEG PRES Y CONNECTOR

Facility

$8.02

Hospital Charge Code	27000174
Hospital Revenue Code	270
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$7.22
Rate for Payer: Aetna Commercial	$6.82
Rate for Payer: Aetna New Business (MI Preferred)	$5.21
Rate for Payer: Cash Price	$6.42
Rate for Payer: Cofinity Advantage	$5.61
Rate for Payer: Cofinity Commercial	$6.90
Rate for Payer: Encore Health Key Benefits Commercial	$6.42
Rate for Payer: Healthscope Commercial	$7.22
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6.82
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.01
Rate for Payer: PHP Commercial	$6.82
Rate for Payer: Priority Health SBD	$5.05

HC NEG PRES Y CONNECTOR

Facility

$8.02

Hospital Charge Code	27000174
Hospital Revenue Code	270
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$7.22
Rate for Payer: Aetna Commercial	$6.82
Rate for Payer: Aetna Medicare	$4.01
Rate for Payer: Aetna New Business (MI Preferred)	$5.21
Rate for Payer: BCBS Complete	$3.21
Rate for Payer: Cash Price	$6.42
Rate for Payer: Cofinity Advantage	$5.61
Rate for Payer: Cofinity Commercial	$6.90
Rate for Payer: Encore Health Key Benefits Commercial	$6.42
Rate for Payer: Healthscope Commercial	$7.22
Rate for Payer: MI Amish Medical Board Commercial	$6.42
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$6.82
Rate for Payer: Opus (Opus Packaging Group) HMA	$6.01
Rate for Payer: PHP Commercial	$6.82
Rate for Payer: Priority Health SBD	$5.05
Rate for Payer: UHC All Payor (Choice/PPO)	$5.21
Rate for Payer: UHC Core	$4.18
Rate for Payer: UHC Exchange	$3.15

HC NEISSERIA GONORRHOEAE AMP DNA

Facility

$68.98

Service Code	CPT 87591
Hospital Charge Code	30600163
Hospital Revenue Code	306
Min. Negotiated Rate	$43.46
Max. Negotiated Rate	$62.08
Rate for Payer: Aetna Commercial	$58.63
Rate for Payer: Aetna New Business (MI Preferred)	$44.84
Rate for Payer: Cash Price	$55.18
Rate for Payer: Cofinity Advantage	$48.29
Rate for Payer: Cofinity Commercial	$59.32
Rate for Payer: Encore Health Key Benefits Commercial	$55.18
Rate for Payer: Healthscope Commercial	$62.08
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$58.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$51.73
Rate for Payer: PHP Commercial	$58.63
Rate for Payer: Priority Health SBD	$43.46

HC NEISSERIA GONORRHOEAE AMP DNA

Facility

$68.98

Service Code	CPT 87591
Hospital Charge Code	30600163
Hospital Revenue Code	306
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$62.08
Rate for Payer: Aetna Commercial	$58.63
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$44.84
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.27
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCBS Trust/PPO	$37.42
Rate for Payer: BCN Commercial	$37.42
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$55.18
Rate for Payer: Cash Price	$55.18
Rate for Payer: Cofinity Advantage	$48.29
Rate for Payer: Cofinity Commercial	$59.32
Rate for Payer: Encore Health Key Benefits Commercial	$55.18
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$62.08
Rate for Payer: Mclaren Medicaid	$18.35
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$36.84
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Molina Medicare/Medicaid	$38.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$58.63
Rate for Payer: Nomi Health Commercial	$52.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$51.73
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$58.63
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.35
Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network	$35.09
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$43.46
Rate for Payer: Priority Health Tiered Network	$28.07
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$52.64
Rate for Payer: UHC Core	$52.64
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35.09
Rate for Payer: UHC Exchange	$52.64
Rate for Payer: UHC Medicaid	$18.35
Rate for Payer: UHCCP Medicaid	$18.35
Rate for Payer: VA VA	$35.09

HC NEISSERIA MENINGITITIS

Facility

$53.06

Service Code	CPT 87798
Hospital Charge Code	30600275
Hospital Revenue Code	306
Min. Negotiated Rate	$33.43
Max. Negotiated Rate	$47.75
Rate for Payer: Aetna Commercial	$45.10
Rate for Payer: Aetna New Business (MI Preferred)	$34.49
Rate for Payer: Cash Price	$42.45
Rate for Payer: Cofinity Advantage	$37.14
Rate for Payer: Cofinity Commercial	$45.63
Rate for Payer: Encore Health Key Benefits Commercial	$42.45
Rate for Payer: Healthscope Commercial	$47.75
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$45.10
Rate for Payer: Opus (Opus Packaging Group) HMA	$39.80
Rate for Payer: PHP Commercial	$45.10
Rate for Payer: Priority Health SBD	$33.43

HC NEISSERIA MENINGITITIS

Facility

$53.06

Service Code	CPT 87798
Hospital Charge Code	30600275
Hospital Revenue Code	306
Min. Negotiated Rate	$18.35
Max. Negotiated Rate	$52.64
Rate for Payer: Aetna Commercial	$45.10
Rate for Payer: Aetna Medicare	$36.49
Rate for Payer: Aetna New Business (MI Preferred)	$34.49
Rate for Payer: Allen County Amish Medical Aid Commercial	$43.86
Rate for Payer: Amish Plain Church Group Commercial	$43.86
Rate for Payer: BCBS Complete	$19.27
Rate for Payer: BCBS MAPPO	$35.09
Rate for Payer: BCBS Trust/PPO	$37.42
Rate for Payer: BCN Commercial	$37.42
Rate for Payer: BCN Medicare Advantage	$35.09
Rate for Payer: Cash Price	$42.45
Rate for Payer: Cash Price	$42.45
Rate for Payer: Cofinity Advantage	$37.14
Rate for Payer: Cofinity Commercial	$45.63
Rate for Payer: Encore Health Key Benefits Commercial	$42.45
Rate for Payer: Health Alliance Plan Medicare Advantage	$35.09
Rate for Payer: Healthscope Commercial	$47.75
Rate for Payer: Mclaren Medicaid	$18.35
Rate for Payer: Mclaren Medicare	$35.09
Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage	$36.84
Rate for Payer: Meridian Medicaid	$36.84
Rate for Payer: MI Amish Medical Board Commercial	$40.35
Rate for Payer: Molina Medicare/Medicaid	$38.60
Rate for Payer: Multiplan/Beech St/PHCS Commercial	$45.10
Rate for Payer: Nomi Health Commercial	$52.63
Rate for Payer: Opus (Opus Packaging Group) HMA	$39.80
Rate for Payer: PACE Medicare	$33.34
Rate for Payer: PACE SWMI	$35.09
Rate for Payer: PHP Commercial	$45.10
Rate for Payer: PHP Medicare Advantage	$35.09
Rate for Payer: Priority Health Choice Medicaid	$18.35
Rate for Payer: Priority Health Medicare	$35.09
Rate for Payer: Priority Health SBD	$33.43
Rate for Payer: Railroad Medicare Medicare	$35.09
Rate for Payer: UHC All Payor (Choice/PPO)	$52.64
Rate for Payer: UHC Core	$52.64
Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage	$35.09
Rate for Payer: UHC Exchange	$52.64
Rate for Payer: UHC Medicaid	$18.35
Rate for Payer: UHCCP Medicaid	$18.35
Rate for Payer: VA VA	$35.09

Know your out-of-pocket cost for care.

All Charges